title: Fontan operation for patients with complex anatomy: the intra-atrial conduit technique.
abstract: The extracardiac conduit type of total cavopulmonary connection (TCPC) is the most common variation of the modified Fontan operation in current use. For patients with some forms of complex anatomy (eg, dextrocardia in situs solitus or asplenia syndrome), we have adopted a different technique: interposition of an intra-atrial conduit between the inferior vena cava (IVC) and the superior vena cava-right pulmonary artery (SVC-RPA) connection. We report our experience with six patients.
authors.affiliation: Pediatric Cardiac Surgery Service, Complejo Hospitalario Universitario Insular Materno Infantil, Las Palmas de Gran Canaria, Spain.
authors.forename: Gabriele M
authors.initials: GM
authors.lastname: Iacona
authors.forename: Alessandro
authors.initials: A
authors.lastname: Giamberti
authors.forename: Raul F
authors.initials: RF
authors.lastname: Abella
authors.forename: Julio Agredo
authors.initials: JA
authors.lastname: Muñoz
authors.forename: Saul Garcia
authors.initials: SG
authors.lastname: Mendieta
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Pomé
authors.forename: Alessandro
authors.initials: A
authors.lastname: Frigiola
keywords: Fontan operation; asplenia; dextrocardia; heterotaxy syndrome